Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.17 / $2,870.00 / $4,387.00	Facility		$72.17	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $81.53 / $147.58	Professional		$72.17	$81.53	$147.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $106.35 / $141.40	Professional		$62.31	$106.35	$141.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $60.81 / $75.03	Professional		$47.18	$60.81	$75.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,919.63 / $2,797.46	Facility		$1,408.37	$1,919.63	$2,797.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $115.92 / $155.53	Professional		$95.55	$115.92	$155.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $80.95 / $118.83	Professional		$67.31	$80.95	$118.83